HESI V2 EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
The nurse knows that which statement by the mother indicates that the mother understands safety
precautions with her four month-old infant and her 4 year-old child? A) "I strap the infant car
seat on the front seat to face backwards." B) "I place my infant in the middle of the living room
floor on a blanket to play with my 4 year old while I make supper in the kitchen." C) "My
sleeping baby lies so cute in the crib with the little buttocks stuck up in the air while the four year
old naps on the sofa." D) "I have the 4 year-old hold and help feed the four month-old a bottle in
the kitchen while I make supper." - CORRECT-ANSWERS-"I have the four year-old hold and
help feed the four month-old a bottle in the kitchen
Upon completing the admission documents, the nurse learns that the 87 year-old client does not
have an advance directive. What action should the nurse take? A) Record the information on the
chart B) Give information about advance directives C) Assume that this client wishes a full code
D) Refer this issue to the unit secretary - CORRECT-ANSWERS-Give information about
advance directives
A nurse administers the influenza vaccine to a client in a clinic. Within 15 minutes after the
immunization was given, the client complains of itchy and watery eyes, increased anxiety, and
difficulty breathing. The nurse expects that the first action in the sequence of care for this client
will be to A) Maintain the airway B) Administer epinephrine 1:1000 as ordered C) Monitor for
hypotension with shock D) Administer diphenhydramine as ordered - CORRECT-ANSWERS-
Administer epinephrine 1:1000 as ordered .
,Which of these children at the site of a disaster at a child day care center would the triage nurse
put in the "treat last" category? A) An infant with intermittent bulging anterior fontanel between
crying episodes B) A toddler with severe deep abrasions over 98% of the body C) A preschooler
with 1 lower leg fracture and the other leg with an upper leg fracture D) A school-age child with
singed eyebrows and hair on the arms - CORRECT-ANSWERS-A toddler with severe deep
abrasions over 98% of the body .
When admitting a client to an acute care facility, an identification bracelet is sent up with the
admission form. In the event these do not match, the nurse's best action is to A) Change
whichever item is incorrect to the correct information B) Use the bracelet and admission form
until a replacement is supplied C) Notify the admissions office and wait to apply the bracelet D)
Make a corrected identification bracelet for the client - CORRECT-ANSWERS-notify the
admissions office and wait to apply the bracelet
The nurse is having difficulty reading the health care provider's written order that was written
right before the shift change. What action should be taken? A) Leave the order for the oncoming
staff to follow-up B) Contact the charge nurse for an interpretation C) Ask the pharmacy for
assistance in the interpretation D) Call the provider for clarification - CORRECT-ANSWERS-
Call the provider for clarification
An adult client is found to be unresponsive on morning rounds. After checking for
responsiveness and calling for help, the next action that should be taken by the nurse is to: A)
check the carotid pulse B) deliver 5 abdominal thrusts C) give 2 rescue breaths D) open the
client's airway - CORRECT-ANSWERS-open the client''s airway
A client has an order for 1000 ml of D5W over an 8 hour period. The nurse discovers that 800 ml
has been infused after 4 hours. What is the priority nursing action? A) Ask the client if there are
,any breathing problems B) Have the client void as much as possible C) Check the vital signs D)
Auscultate the lungs - CORRECT-ANSWERS-Auscultate the lungs
Following change-of-shift report on an orthopedic unit, which client should the nurse see first?
A) 16 year-old who had an open reduction of a fractured wrist 10 hours ago B) 20 year-old in
skeletal traction for 2 weeks since a motor cycle accident C) 72 year-old recovering from surgery
after a hip replacement 2 hours ago D) 75 year-old who is in skin traction prior to planned hip
pinning surgery. - CORRECT-ANSWERS-72 year-old recovering from surgery after a hip
replacement 2 hours ago
A nurse observes a family member administer a rectal suppository by having the client lie on the
left side for the administration. The family member pushed the suppository until the finger went
up to the second knuckle. After 10 minutes the client was told by the family member to turn to
the right side and the client did this. What is the appropriate comment for the nurse to make? A)
Why don't we now have the client turn back to the left side. B) That was done correctly. Did you
have any problems with the insertion? C) Let's check to see if the suppository is in far enough.
D) Did you feel any stool in the intestinal tract? - CORRECT-ANSWERS-That was done
correctly. Did you have any problems with the insertion?
A client with a diagnosis of Methicillin resistant Staphylococcus aureus (MRSA) has died.
Which type of precautions is the appropriate type to use when performing postmortem care? A)
airborne precautions B) droplet precautions C) contact precautions D) compromised host
precautions - CORRECT-ANSWERS-contact precautions
The nurse is reviewing with a client how to collect a clean catch urine specimen. Which
sequence is appropriate teaching? A) Void a little, clean the meatus, then collect specimen B)
clean the meatus, begin voiding, then catch urine stream C) Clean the meatus, then urinate into
, container D) Void continuously and catch some of the urine - CORRECT-ANSWERS-clean the
meatus, begin voiding, then catch urine stream
The provider orders Lanoxin (digoxin) 0.125 mg PO and furosomide 40 mg every day. Which of
these foods would the nurse reinforce for the client to eat at least daily? A) spaghetti B)
watermelon C) chicken D) tomatoes - CORRECT-ANSWERS-watermelon
A nurse is stuck in the hand by an exposed needle. What immediate action should the nurse take?
A) Look up the policy on needle sticks B) Contact employee health services C) Immediately
wash the hands with vigor D) Notify the supervisor and risk management - CORRECT-
ANSWERS-Immediately wash the hands with vigor
As the nurse observes the student nurse during the administration of a narcotic analgesic IM
injection, the nurse notes that the student begins to give the medication without first aspirating.
What should the nurse do? A) Ask the student: "What did you forget to do?" B) Stop. Tell me
why aspiration is needed. C) Loudly state: "You forgot to aspirate." D) Walk up and whisper in
the student's ear "Stop. Aspirate. Then inject." - CORRECT-ANSWERS-Walk up and whisper
in the student's ear "Stop. Aspirate. Then inject."
A client with Guillain Barre is in a non responsive state, yet vital signs are stable and breathing is
independent. What should the nurse document to most accurately describe the client's condition?
A) Comatose, breathing unlabored B) Glascow Coma Scale 8, respirations regular C) Appears to
be sleeping, vital signs stable D) Glascow Coma Scale 13, no ventilator required - CORRECT-
ANSWERS-Glascow Coma Scale 8, respirations regular
A client enters the emergency department unconscious via ambulance from the client's work
place. What document should be given priority to guide the direction of care for this client? A)
The statement of client rights and the client self determination act B) Orders written by the health
QUESTIONS AND ANSWERS 2025
The nurse knows that which statement by the mother indicates that the mother understands safety
precautions with her four month-old infant and her 4 year-old child? A) "I strap the infant car
seat on the front seat to face backwards." B) "I place my infant in the middle of the living room
floor on a blanket to play with my 4 year old while I make supper in the kitchen." C) "My
sleeping baby lies so cute in the crib with the little buttocks stuck up in the air while the four year
old naps on the sofa." D) "I have the 4 year-old hold and help feed the four month-old a bottle in
the kitchen while I make supper." - CORRECT-ANSWERS-"I have the four year-old hold and
help feed the four month-old a bottle in the kitchen
Upon completing the admission documents, the nurse learns that the 87 year-old client does not
have an advance directive. What action should the nurse take? A) Record the information on the
chart B) Give information about advance directives C) Assume that this client wishes a full code
D) Refer this issue to the unit secretary - CORRECT-ANSWERS-Give information about
advance directives
A nurse administers the influenza vaccine to a client in a clinic. Within 15 minutes after the
immunization was given, the client complains of itchy and watery eyes, increased anxiety, and
difficulty breathing. The nurse expects that the first action in the sequence of care for this client
will be to A) Maintain the airway B) Administer epinephrine 1:1000 as ordered C) Monitor for
hypotension with shock D) Administer diphenhydramine as ordered - CORRECT-ANSWERS-
Administer epinephrine 1:1000 as ordered .
,Which of these children at the site of a disaster at a child day care center would the triage nurse
put in the "treat last" category? A) An infant with intermittent bulging anterior fontanel between
crying episodes B) A toddler with severe deep abrasions over 98% of the body C) A preschooler
with 1 lower leg fracture and the other leg with an upper leg fracture D) A school-age child with
singed eyebrows and hair on the arms - CORRECT-ANSWERS-A toddler with severe deep
abrasions over 98% of the body .
When admitting a client to an acute care facility, an identification bracelet is sent up with the
admission form. In the event these do not match, the nurse's best action is to A) Change
whichever item is incorrect to the correct information B) Use the bracelet and admission form
until a replacement is supplied C) Notify the admissions office and wait to apply the bracelet D)
Make a corrected identification bracelet for the client - CORRECT-ANSWERS-notify the
admissions office and wait to apply the bracelet
The nurse is having difficulty reading the health care provider's written order that was written
right before the shift change. What action should be taken? A) Leave the order for the oncoming
staff to follow-up B) Contact the charge nurse for an interpretation C) Ask the pharmacy for
assistance in the interpretation D) Call the provider for clarification - CORRECT-ANSWERS-
Call the provider for clarification
An adult client is found to be unresponsive on morning rounds. After checking for
responsiveness and calling for help, the next action that should be taken by the nurse is to: A)
check the carotid pulse B) deliver 5 abdominal thrusts C) give 2 rescue breaths D) open the
client's airway - CORRECT-ANSWERS-open the client''s airway
A client has an order for 1000 ml of D5W over an 8 hour period. The nurse discovers that 800 ml
has been infused after 4 hours. What is the priority nursing action? A) Ask the client if there are
,any breathing problems B) Have the client void as much as possible C) Check the vital signs D)
Auscultate the lungs - CORRECT-ANSWERS-Auscultate the lungs
Following change-of-shift report on an orthopedic unit, which client should the nurse see first?
A) 16 year-old who had an open reduction of a fractured wrist 10 hours ago B) 20 year-old in
skeletal traction for 2 weeks since a motor cycle accident C) 72 year-old recovering from surgery
after a hip replacement 2 hours ago D) 75 year-old who is in skin traction prior to planned hip
pinning surgery. - CORRECT-ANSWERS-72 year-old recovering from surgery after a hip
replacement 2 hours ago
A nurse observes a family member administer a rectal suppository by having the client lie on the
left side for the administration. The family member pushed the suppository until the finger went
up to the second knuckle. After 10 minutes the client was told by the family member to turn to
the right side and the client did this. What is the appropriate comment for the nurse to make? A)
Why don't we now have the client turn back to the left side. B) That was done correctly. Did you
have any problems with the insertion? C) Let's check to see if the suppository is in far enough.
D) Did you feel any stool in the intestinal tract? - CORRECT-ANSWERS-That was done
correctly. Did you have any problems with the insertion?
A client with a diagnosis of Methicillin resistant Staphylococcus aureus (MRSA) has died.
Which type of precautions is the appropriate type to use when performing postmortem care? A)
airborne precautions B) droplet precautions C) contact precautions D) compromised host
precautions - CORRECT-ANSWERS-contact precautions
The nurse is reviewing with a client how to collect a clean catch urine specimen. Which
sequence is appropriate teaching? A) Void a little, clean the meatus, then collect specimen B)
clean the meatus, begin voiding, then catch urine stream C) Clean the meatus, then urinate into
, container D) Void continuously and catch some of the urine - CORRECT-ANSWERS-clean the
meatus, begin voiding, then catch urine stream
The provider orders Lanoxin (digoxin) 0.125 mg PO and furosomide 40 mg every day. Which of
these foods would the nurse reinforce for the client to eat at least daily? A) spaghetti B)
watermelon C) chicken D) tomatoes - CORRECT-ANSWERS-watermelon
A nurse is stuck in the hand by an exposed needle. What immediate action should the nurse take?
A) Look up the policy on needle sticks B) Contact employee health services C) Immediately
wash the hands with vigor D) Notify the supervisor and risk management - CORRECT-
ANSWERS-Immediately wash the hands with vigor
As the nurse observes the student nurse during the administration of a narcotic analgesic IM
injection, the nurse notes that the student begins to give the medication without first aspirating.
What should the nurse do? A) Ask the student: "What did you forget to do?" B) Stop. Tell me
why aspiration is needed. C) Loudly state: "You forgot to aspirate." D) Walk up and whisper in
the student's ear "Stop. Aspirate. Then inject." - CORRECT-ANSWERS-Walk up and whisper
in the student's ear "Stop. Aspirate. Then inject."
A client with Guillain Barre is in a non responsive state, yet vital signs are stable and breathing is
independent. What should the nurse document to most accurately describe the client's condition?
A) Comatose, breathing unlabored B) Glascow Coma Scale 8, respirations regular C) Appears to
be sleeping, vital signs stable D) Glascow Coma Scale 13, no ventilator required - CORRECT-
ANSWERS-Glascow Coma Scale 8, respirations regular
A client enters the emergency department unconscious via ambulance from the client's work
place. What document should be given priority to guide the direction of care for this client? A)
The statement of client rights and the client self determination act B) Orders written by the health
